NMT QUIZ 1 Flashcards
Trapezius - ORIGIN
- EOP
- Medial superior Nuchal line of occiput
- ligamentum nuchae
- SPs C7-T2
Trapezius - INSERTION
- Lateral 1/3 of clavicle
- Acromion
- Spine of Scapula
- Tubercle of spine of scapula
Trapezius - ACTION
UPPER TRAPS:
- Extend head and neck
Laterally flex head and neck to the same side
- Rotate head and neck to opposite side
- Elevate the scapula
- Upward rotation of scapula
MIDDLE TRAPS:
- Adduct the scapula
- Stabilize scapula
LOWER TRAPS:
- Depress scapula
- Upward rotation of scapula
Rhomboids MAJOR - ORIGIN
SPs T2-T5
Rhomboids Minor - ORIGIN
SPs C7-T1
Rhomboids Major - INSERTION
Medial border of scapula between the spine of scapula and inferior angle
Rhomboids Minor - INSERTION
Upper portion of medial border of scapula across from spine of scapula
Rhomboids Major & Minor - ACTION
Adduct the scapula
Elevate the scapula
Downward rotation of scapula
What is the definition of NMT?
A system of bodywork that affects muscle tone through sensory feedback in order to treat soft tissue pain and dysfunction
What three techniques are used during NMT?
Gliding
Friction
Static/Ischemic compression to individual muscles
What is ISCHEMIA?
Local decrease in blood supply
A state in which the current O2 supply is inadequate for the current physiological needs of the tissue
What is Hypertonicity?
Greater than normal muscle tone
What are Trigger Points?
A localized area of deep tenderness that MAY produce referred pain - often in a PREDICTABLE area when overloaded or under direct digital pressure
What is a TAUGHT BAND?
The group of taught muscle fibers associated with a myofascial triggerpoint - identifiable by palpation
What is POSTURAL DISTORTION?
The result of imbalance in the musculoskeletal system caused by hypertonicity and gravity. This can cause shortened or lengthened muscles
Postural Analysis
Muscles can be identified as LOCKED SHORT or LOCKED LONG based on posture.
Therapists can then treat the LOCKED SHORT muscles as a means of balancing posture
Nerve entrapment
Constriction or mechanical distortion of a nerve within a fibrous, fibrocartilage-osseous tunnel or taught band which in turn interferes with nerve conduction
Difference between Swedish Massage and NMT
Swedish Massage has a goal of RELAXATION
NMT has a goal of PAIN RELIEF
What is PALPATION
To assess the body through touch
What do we palpate?
Specific individual muscles
What are we feeling for during palpation
Hypertonicity
Reaction
Trigger Points
How much pressure should you use to find trigger points?
Just enough to elicit a referred sensation
Use a scale of 1-10 aiming for 7
What is the PROTOCOL for NMT technique
ASSESS - Evaluate what they are saying and how they are walking and holding themselves (posture)
GENERAL GLIDE - warm up the muscle region with effleurage
SPECIFIC GLIDE - STATIC PRESSURE / TRIGGER POINT RELEASE - use the “wave” to SLOWLY stretch the myofascial tissue until you find a point of pain then use STATIC PRESSURE and a pain scale until you reach 7
Ask if you can use more pressure?
Have the client BREATH deep for 10-12 seconds.
Re-evaluate pain scale
Treat twice
O. I. A. R. stands for
ORIGIN
INSERTION
ACTION
R = Functional Anatomy - Related muscles and structures
How you should define the pain scale (don’t call it a pain scale to the client)
Less than 5: I definitely need more pressure
5: that feels good. No discomfort
6: mild discomfort
7: moderate discomfort
7. 5: strong sensation but no impulse to withdraw
8: impulse to withdraw, pain, inability to relax into the technique
